On Call Registered Nurse

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At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey.

Reports To:

Executive Director

The after-hours registered nurse supports the patient needs of the agency in the evening during the weekdays, working overnight shifts Monday through Thursday (5:00 PM – 8:30 AM) and a continuous weekend shift from Friday at 5:00 PM through Monday at 8:30 AM. This role follows a rotating schedule: one week on, followed by one full week off. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities after normal business hours.

• Completes an initial and comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process and utilizes health assessment data to determine nursing diagnosis.
• Assesses and evaluates patient's status through writing and initiating plan of care, re-evaluating patient and family/caregiver needs after hours when needed, and participates in revising the plan of care as necessary.
• Develops a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care.
• Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care.
• Supports the Case Managers and assumes responsibility to coordinate patient care for the agency after hours.
• Completes, maintains, and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Actively participates in quality assessment performance improvement teams and activities if needed.
• Perform additional job duties as assigned.

• Bachelor's or Associate's degree in nursing or related fields, required.
• Maintains an active nursing license that is in good standing in the state performing job duties.
• Maintains an active CPR certification.
• At least 2-5 years of experience in the healthcare management, hospice, or palliative care and/or training in end-of-life care, preferred.
• At least 1 year of experience with Medicare Hospice Certification as well as CHAP guidelines, preferred.
• Knowledge of hospice care and the services provided to patient and family/caregiver through an interdisciplinary group.
• Proficient in MS Office applications and ability to learn department and job-specific software systems.
• Demonstrate organizational skills.
• Demonstrate effective verbal and written communication skills.
  
  Demonstrate analytical skills when problem-solving.
• Demonstrate high attention to detail and a high degree of accuracy.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with…